Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.00 / $2,561.00 / $8,920.00	Facility		$812.00	$2,561.00	$8,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.15 / $398.94 / $2,752.38	Professional		$172.15	$398.94	$2,752.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49,208.00 / $62,509.00 / $67,760.00	Facility		$49,208.00	$62,509.00	$67,760.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $413.08 / $539.98 / $901.44	Professional		$413.08	$539.98	$901.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.63 / $385.12 / $5,113.00	Professional		$323.63	$385.12	$5,113.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $420.00 / $420.00 / $770.04	Facility		$420.00	$420.00	$770.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.29 / $500.82 / $4,353.26	Professional		$192.29	$500.82	$4,353.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,541.23 / $4,707.18 / $5,349.08	Professional		$3,541.23	$4,707.18	$5,349.08
Medcost Facility/Professional Facility Modifier Low / Median / High Price $210.08 / $487.49 / $3,248.82	Facility		$210.08	$487.49	$3,248.82
Medcost Facility/Professional Professional Modifier Low / Median / High Price $251.00 / $304.00 / $3,818.94	Professional		$251.00	$304.00	$3,818.94
Sentara Facility/Professional Facility Modifier Low / Median / High Price $176.63 / $382.62 / $1,715.92	Facility		$176.63	$382.62	$1,715.92
Sentara Facility/Professional Professional Modifier Low / Median / High Price $223.34 / $2,440.06 / $7,420.00	Professional		$223.34	$2,440.06	$7,420.00
United Facility/Professional Facility Modifier Low / Median / High Price $7,408.00 / $13,296.00 / $34,314.00	Facility		$7,408.00	$13,296.00	$34,314.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.60 / $1,873.15 / $3,928.91	Professional		$196.60	$1,873.15	$3,928.91